ATI RN
ATI RN pharmacology 2023 Questions
Extract:
Nurses' Notes
Vital Signs
Laboratory Results
0950:
A male client transferred to room from PACU following abdominal surgery. Report received that estimated blood loss in the procedure was 1200 mL. Client is alert and talking. Lung sounds clear, heart regular rate and rhythm, hypoactive bowel sounds. Sequential compression devices in place and peripheral pulses palpable and equal bilaterally. Client can feel and wiggle toes.
1025:
Called to room. Client appears agitated. The client states, "I feel like something is wrong." Lung sounds clear, increased rate and depth of respirations noted. Client rates incisional pain as 5 on a scale of 0 to 10. Surgical dressing dry and intact. Hypoactive bowel sounds. Peripheral pulses palpable and strong capillary refill time (CRT) less than 3 seconds,
Question 1 of 5
The nurse should first follow up on the client's ___ and ___
| oxygen saturation |
| pain |
| WBC count |
| behavioral findings |
| bowel findings |
Correct Answer: A,D
Rationale: Oxygen saturation drop to 90% indicates potential hypoxia needing immediate follow-up. Behavioral findings like agitation and a sense of unease could signal early deterioration or hypovolemia post-surgery.
Extract:
Question 2 of 5
A nurse is teaching a client about prevention of injury when lifting. Which of the following instructions should the nurse include in the teaching?
Correct Answer: D
Rationale: Standing close to the object reduces back strain and improves control, adhering to proper lifting techniques.
Extract:
Nurses' Notes
Vital Signs
Laboratory Results
0950:
A male client transferred to room from PACU following abdominal surgery. Report received that estimated blood loss in the procedure was 1200 mL. Client is alert and talking. Lung sounds clear, heart regular rate and rhythm, hypoactive bowel sounds. Sequential compression devices in place and peripheral pulses palpable and equal bilaterally. Client can feel and wiggle toes.
1025:
Called to room. Client appears agitated. The client states, "I feel like something is wrong." Lung sounds clear, increased rate and depth of respirations noted. Client rates incisional pain as 5 on a scale of 0 to 10. Surgical dressing dry and intact. Hypoactive bowel sounds. Peripheral pulses palpable and strong capillary refill time (CRT) less than 3 seconds,
Question 3 of 5
The nurse should first follow up on the client's ___ and ___
| oxygen saturation |
| pain |
| WBC count |
| behavioral findings |
| bowel findings |
Correct Answer: A,D
Rationale: Oxygen saturation drop to 90% indicates potential hypoxia needing immediate follow-up. Behavioral findings like agitation and a sense of unease could signal early deterioration or hypovolemia post-surgery.
Extract:
Question 4 of 5
A nurse is teaching a group of nurses about ways to advocate for clients. Which of the following suggestions should the nurse include in the teaching?
Correct Answer: D
Rationale: Advocacy includes protecting clients from harmful alternatives while providing safe options.
Extract:
Nurses' Notes
Diagnostic Results
Day 1:
The client has left-sided weakness and is unable to ambulate without full assistance. 2+ pedal pulses present and equal bilaterally.
Day 2:
Area of swelling and tenderness noted to back of right calf. Pedal pulses present and equal bilaterally.
Question 5 of 5
The client is at risk for developing ___ due to their ___
| deep vein thrombosis (DVT) |
| immobility |
Correct Answer: A,B
Rationale: Swelling and tenderness in the calf are key signs of DVT, which is a common complication of immobility after a stroke. Immobility leads to venous stasis, increasing the risk of clot formation.